• 제목/요약/키워드: Sore Throat

검색결과 150건 처리시간 0.021초

아산화질소(N2O)와 공기(Air)를 사용한 마취 수술의 기낭압 조정이 수술 후 인후통과 쉰목소리에 미치는 영향 (The Effect of Intracuff Pressure Adjustment on Postoperative Sore Throat and Hoarseness after Nitrous Oxide and Air Anesthesia)

  • 구안나;유미
    • 대한간호학회지
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    • 제49권2호
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    • pp.215-224
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    • 2019
  • Purpose: To investigate the differences in postoperative sore throat and hoarseness by adjustment of endotracheal tube cuff pressure (CP) during nitrous oxide ($N_2O$) and air anesthesia. Methods: A one-equivalent control group pretest-posttest design was used. Data were collected from August 8 to October 19, 2017 and analyzed using the independent t-test and repeated measures ANOVA. Eighty-four participants were enrolled and divided into three groups: 28 in the Control Group (CP adjusted every 30 minutes using $N_2O$), 28 in Experimental Group 1 (CP adjusted every 10 minutes using $N_2O$), and 28 in Experimental Group 2 (non-adjusted CP using air), all of whom underwent urologic, gynecologic, and orthopedic surgeries at the G University hospital. Sore throat was assessed using a numeric rating scale; hoarseness was evaluate using the Stout classification at 1, 6, and 24 hours after surgery. Results: Scores for sore throat and hoarseness were significantly different between the groups at each measurement time, and scores were consistently higher in the control group. During subsequent measurements, sore throat and hoarseness scores were significantly lower at 6 hours. Cuff pressure changed significantly using air anesthesia (${\chi}^2=10.41$, p=.015) up to 2 hours after induction. Severe sore throat and hoarseness was observed for up to 6 hours after surgery. Conclusion: Cuff pressure adjustment at short time intervals would be helpful in reducing postoperative sore throat and hoarseness. Nursing intervention focused on prevention of sore throat and hoarseness should be required up to 6 hours postoperatively in patients undergoing endotracheal intubation.

기관내관의 기낭압 조정이 수술 후 인후통에 미치는 영향 (The Effect of Cuff Pressure of Endotrachel Tube on Postoperative Sore Throat)

  • 나혜경;윤혜상
    • 성인간호학회지
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    • 제21권5호
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    • pp.538-546
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    • 2009
  • Purpose: The purpose of this study was to identify the effects of cuff pressure on postoperative sore throat. Methods: Data were collected from January 4 through May 15, 2008. Among the 60 patients, 30 patients were randomly assigned to the control group and the rest to the experimental group. Initial cuff pressure of both groups was set at 20 $cmH_2O$. The experimental group was maintained at 20 $cmH_2O$ throughout the anesthesia, while the control group was not regulated further. Sore throat was assessed at postoperative 1, 24 and 72 hours. Data were analyzed using Mann-Whitney test and Spearman's rho coefficients. Results: Cuff pressure in control group increased from 20 to 43 $cmH_2O$ within 3 hours after induction. However, the experimental group showed that there was apparently a reduced rate of sore throat at postoperative 24 hours (p = .048), and 72 hours (p = .002) than in the control group. However, no outstanding differences between both groups at postoperative 1 hour (p = .081) were detected. The correlation between cuff pressure and sore throat was statistically significant ($r_s$ = .590, p < .001). Conclusion: We conclude that maintaining cuff pressure at 20 $cmH_2O$ could be an effective means to reduce sore throat in surgical patients with inhalation anesthesia.

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인후통의 침치료에 대한 국외 임상 연구 동향 (Recent Clinical Research on Effect of Acupuncture on Sore Throat)

  • 한예지;이선행;이진용
    • 대한한방소아과학회지
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    • 제30권2호
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    • pp.47-55
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    • 2016
  • Objectives The purpose of this study is to investigate recent clinical studies on the effect of acupuncture on sore throat. Methods Based on the PubMed search with the key search terms of 'sore throat, acupuncture', dated from 1992 to 2015, 7 controlled trials and 8 case series was found, and were analyzed for this study. Results 1. The most commonly used acupoints were Quchi (LI11), and Hegu (LI4). 2. The most commonly used meridians were The Lung Meridian of Hand-Taiyin and The Large Intestine Meridian of Hand-Yangming. 3. Acupuncture treatment was effective for both acute and chronic sore throat. 4. More clinical studies are needed to prove the effectiveness of the acupuncture on sore throat. To be more objective on the study results, we can measure temperature drops on or amount of analgesic consumption for sore throat after acupuncture treatment.

대장암 수술 후 온열 목 마스크 적용이 구강건조와 인후통에 미치는 효과 (The Effect of Warm Scarf on Postoperative Xerostomia and Sore Throat in Colon Cancer Patients)

  • 최송이;이가은;윤보라;윤지선;정서영
    • 임상간호연구
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    • 제29권1호
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    • pp.67-74
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    • 2023
  • Purpose: This study aimed to identify the effect of warm scarf on xerostomia and sore throat in postoperative colon cancer patients. Methods: A total of 40 participants with colon cancer who underwent colon cancer operation over 2hours were included from C University hospital in Seoul. The number of experimental group and control group is each 20 calculated by G*Power, and they were assigned by using nonequivalent control group no-synchronized design. In the experimental group, a warm scarf was applied to the neck for 120 minutes from entering the recovery room after the colorectal cancer surgery was completed. In the experimental group and the control group, xerostomia and sore throat were measured twice at 60-minute intervals. The degree of xerostomia was measured through the degree of wetness of the absorbent paper in mm, and the degree of sore throat was measured through the NRS (Numeral Rating Scale). Data were collected using self-administered questionnaires from August 2018 to September 2020 and were analyzed using IBM SPSS/WIN 21.0 Descriptive statistics, x2 test, Fisher's exact test, t-test were used to determine the participant's characteristics. The effect of warm scarf on xerostomia and sore throat were separately estimated by Repeated Measures ANOVA. Results: The experimental group showed significant decrease of xerostomia and sore throat as time goes (p<.001). Conclusion: Results indicate that warm scarf on xerostomia and sore throat in postoperative colon cancer patients is helpful method for relieving side effect of tracheal intubation.

Postoperative Tracheal Mucosa Ischemia by Endotracheal Tube Cuff Pressure Change During the Anterior Cervical Spine Surgery

  • Kim, Seok-Won;Shin, Ho
    • Journal of Korean Neurosurgical Society
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    • 제39권6호
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    • pp.419-422
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    • 2006
  • Objective : Endotracheal tube cuff-pressure[ETCP] increases significantly during anterior cervical spine surgery with neck retraction. Clinically, postoperative hoarseness with sore throat is correlated with vocal cord edema due to longer intubation time and higher ETCP during neck retraction. Methods : Fifty patients of anterior cervical spine surgery were randomized to a control [no adjustment, 25 cases] and a treatment group [ETCP adjusted to 20mmHg, 25 cases]. Patients were blinded to their group assignments. They were questioned about the presence of ischemic symptoms [sore throat, dysphagia, hoarseness] postoperatively at different time points; 4 hours, 24 hours, and 1 week postoperatively. Results : No differences between groups at 4 hours and 1 week postoperatively were demonstrated. At 24 hours, 36% of patients in the treatment group complained of sore throat while 56% of control group patients did [p < 0.05]. Female patients correlated with development of all ischemic discomfort [p < 0.05 : sore throat, hoarseness, dysphagia]. Conclusion : Our results suggest that postoperative ischemic symptom following anterior cervical spine surgery may be associated with the two predictors; increased ETCP during neck retraction and female. The simple procedure of maintaining ETCP to 20mmHg can prevent postoperative tracheal ischemic symptom.

기침과 인후부 불편감을 주소로 하는 코로나 19 후유증 환자에 대한 보험한약 치료 1례 (A Case Report of a Patient with Long COVID Complaining of Cough and Sore throat Treated with Hyunggaeyungyo-tang and Saengmaek-san)

  • 유창환
    • 대한한의학회지
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    • 제43권3호
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    • pp.204-210
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    • 2022
  • Objectives: The purpose of this case study was to report the clinical improvement of Long COVID(cough, sore throat) treated with Korean herbal medicine(Hyunggaeyungyo-tang and Saengmaek-san). Methods: To assess the treatment outcomes, I used the Visual analogue scale(VAS) to evaluate sore throat degree, and Leicester Cough Questionnaire Korean version(LCQ-K). Results: After treatments, cough and sore throat were significantly improved with VAS and LCQ-K. Conclusion: The Korean herbal medicine was effective in the treatment of patient who suffers Long COVID. This study suggested the possibility of Korean herbal medicine treatment for Long COVID.

생리식염수를 이용한 흡입요법이 수술 후 갈증과 인후통에 미치는 효과 (The Effects of Nebulizer Therapy with Normal Saline on Postoperative Thirst and Sore Throat)

  • 노혜진;은영;박현우;천미희
    • Journal of Korean Biological Nursing Science
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    • 제22권3호
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    • pp.204-212
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    • 2020
  • Purpose: The purpose of this study was to examine the effect of nebulizer therapy with normal saline on thirst and sore throat among postoperative patients. Methods: A quasi-experimental nonequivalent control group, pretest-posttest design was used with 50 participants. The experimental group received nebulizer therapy with normal saline every two hours for 10 minutes three times and wet gauze (n= 25), and the control group received only wet gauze (n= 25). Data were collected using the Numeral Rating Scale for Thirst and Sore Throat. Measurements were calculated before applying nebulizer therapy and total five times for 12 hours after treatment. Data were analyzed using the repeated measured ANOVA. Results: Thirst for the experimental group using the nebulizer therapy with normal saline improved more than for the control group (F= 3.06, p= .043). Sore throat was not significantly different between the two groups (F= 0.63, p= .565). Conclusion: Study results indicate that using nebulizer therapy with normal saline can reduced thirst for postoperative patients. So nurses can apply nebulizer therapy with normal saline to reduce thirst and to improve comfort for postoperative patients.

냉수 가글링이 정형외과 수술환자의 갈증, 구강상태, 인후통에 미치는 효과 (The Effects of Cold Water Gargling on Thirst, Oral Cavity Condition, and Sore Throat in Orthopedics Surgery Patients)

  • 윤서영;민혜숙
    • 재활간호학회지
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    • 제14권2호
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    • pp.136-144
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    • 2011
  • Purpose: A purpose of this study was to identify the effects of cold water gargling on thirst, oral cavity condition and sore throat in orthopedics surgery patients who underwent general anesthesia. Methods: Pretest-posttest non-synchronized design with a nonequivalent control group was used. A total of 52 participants were conveniently selected and assigned to each group. The experimental group gargled hourly with cold water for 8 hours after operation. The control group received wet gauze as needed. We compared the thirst, oral cavity condition and sore throat at 0, 2, 4 and 8 hours after operation. Results: The score of thirst and oral cavity condition was lower in the experimental group than in the control group. However, there was no significant differences in the levels of sore throat between the experimental and control group. Conclusion: These findings suggest that cold water gargling can be a useful nursing intervention for alleviating thirst and improving oral condition for patients with orthopedic surgery after general anesthesia.

디프람 스프레이(Difflam spray 0.3%)와 중조 생리식염수 분무요법이 전신마취 하 수술 환자의 구강 안위감, 인후통 및 구취에 미치는 효과 (The Effects of Oral Care with Difflam Spray 0.3% and Sodium Bicarbonate-Normal Saline Solution on Postoperative Oral Comfort, Sore Throat, and Halitosis)

  • 최은희;이현수;고미숙
    • 근관절건강학회지
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    • 제28권1호
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    • pp.41-49
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    • 2021
  • Purpose: This study aimed to compare the effects of the Difflam spray 0.3% with the sodium bicarbonate-normal saline spray on oral care for postoperative patients. Methods: The participants were randomly allocated to either the Difflam (n=22) group or the saline solution (n=23) group. The data were collected at the 1-, 4-, 7-, and 10-hour marks after returning to the ward post operation using the Beck's subjective oral discomfort scale, Visual Analogue Scale for sore throat, and portable halitosis detector. Results: The sore throat (F=7.25, p=.001) score significantly decreased after oral care using the Difflam spray 0.3%. However, the difference in the scores of oral comfort (F=0.34, p=.797) and halitosis (F=0.91, p=.443) between the two groups was not statistically significant. Conclusion: These findings suggest that the Difflam spray 0.3% is effective in improving postoperative sore throat. A further study that explores the effect of various oral solutions for postoperative patients is needed to present systemic and effective evidence-based oral care guidelines.

내시경적 부비동 수술 시 항콜린성제제 사용이 수술 후 인후통 발생에 미치는 영향 (The Effect of Anticholinergic Agents on Postoperative Sore Throat in Patients Undergoing Endoscopic Sinus Surgery)

  • 이주영;이덕희
    • Journal of Yeungnam Medical Science
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    • 제24권2호
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    • pp.305-310
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    • 2007
  • 수술 후 인후 합병증은 통증이나 구토에 비하면 사소한 합병증이지만 흔히 환자들이 불편을 호소한다. 양 측 내시경적 부비동 수술 후에 양 코를 막아 입으로 숨 쉬게 되어 구강 건조가 더 심할 것으로 보고 환자들을 glycopyrrolate를 전투약 하고 반전시에 쓴 경우, 전투약 하지 않고 반전에만 쓴 경우, 전투약에만 쓰고 반전은 atropine을 쓴 경우, 전투약 하지 않고 반전은 atropine으로 한 경우의 네 군으로 나누었다. 마취 종료 1시간, 6시간, 12시간, 24시간, 48시간 후의 인후통과 쉰 소리 여부를 묻고, 없는 경우 0, 있는 경우에는 감기 시 목 아픈 것 보다 약하면 1, 비슷하면 2, 더 심하면 3으로 하여 심각도를 나누어 물었다. 각 군 간의 인후통 발생률은 1군에서 조금 높았으나 유의한 차이가 없었다. 심각도는 모두 1이하로 낮았다. 쉰 소리는 모든 환자에서 발생하지 않았다. 양측 내시경적 부비동 수술 후 인후 합병증은 심각도가 낮고 24시간 내에 사라지는 것으로 항콜린성 제제 사용을 피해야 할 필요성은 없을 것으로 보인다.

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